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[1]董文陽,孫武權(quán),朱清廣,等.不同時(shí)長法對(duì)腰肌勞損患者腰背部肌電信號(hào)的影響[J].中醫(yī)正骨,2023,35(06):49-52,58.
　DONG Wenyang,SUN Wuquan,ZHU Qingguang,et al.Effects of rolling manipulation with different durations on lumbodorsal electromyographic signals in patients with lumbar muscle strain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(06):49-52,58.
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不同時(shí)長法對(duì)腰肌勞損患者腰背部肌電信號(hào)的影響()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年06期
頁碼:
49-52,58
欄目:
臨床研究
出版日期:
2023-06-20

文章信息/Info

Title:
Effects of rolling manipulation with different durations on lumbodorsal electromyographic signals in patients with lumbar muscle strain
作者:
董文陽1; 孫武權(quán)2; 朱清廣2; 張帥攀3; 單一鳴2; 劉元紅4; 陳金田2
(1.上海中醫(yī)藥大學(xué)附屬龍華醫(yī)院,上海 200032; 2.上海中醫(yī)藥大學(xué)附屬岳陽中西醫(yī)結(jié)合醫(yī)院,上海 200437; 3.上海中醫(yī)藥大學(xué)針灸推拿學(xué)院,上海 201203; 4.上海同仁醫(yī)院,上海 200336)
Author(s):
DONG Wenyang1; SUN Wuquan2; ZHU Qingguang2; ZHANG Shuaipan3; SHAN Yiming2; LIU Yuanhong4; CHEN Jintian2
1.Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China 2.Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China 3.School of Acupuncture-Moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China 4.Shanghai Tongren Hospital,Shanghai 200336,China
關(guān)鍵詞:
腰肌;  扭傷和勞損;  滾法推拿療法;  肌電描記術(shù);  臨床試驗(yàn)
Keywords:
psoas muscles;  sprains and strains;  rolling manipulation;  electromyography;  clinical trial
摘要:
目的:觀察不同時(shí)長法對(duì)腰肌勞損患者腰背部肌電信號(hào)的影響。方法:將75例符合要求的腰肌勞損患者隨機(jī)分為3組,每組25例。3組患者均于腰背部足太陽膀胱經(jīng)循行處(兩側(cè)豎脊肌和腰方肌)行法治療,法時(shí)長分別為5 min(短時(shí)間組)、10 min(中等時(shí)間組)、15 min(長時(shí)間組)。法的前擺垂向力為50～70 N、回?cái)[垂向力為20～40 N,法頻率為138次·min-1。每周治療3次,連續(xù)治療2周。分別于治療前及末次治療后采用表面肌電儀采集兩側(cè)豎脊肌和腰方肌的表面肌電信號(hào),比較3組患者的兩側(cè)豎脊肌和腰方肌表面肌電信號(hào)頻率。結(jié)果:3組患者均有4例退出,其中短時(shí)間組4例均為不愿繼續(xù)參加試驗(yàn),中等時(shí)間組1例為不按要求治療、3例為不愿繼續(xù)參加試驗(yàn),長時(shí)間組2例為不按要求治療、2例為不愿繼續(xù)參加試驗(yàn)。治療前和末次治療后,3組患者左側(cè)豎脊肌、右側(cè)豎脊肌、左側(cè)腰方肌、右側(cè)腰方肌的表面肌電信號(hào)頻率比較,組間差異均無統(tǒng)計(jì)學(xué)意義[治療前:H=2.611,P=0.271; H=3.417,P=0.181; H=1.934,P=0.380; H=2.440,P=0.295; 末次治療后:H=5.805,P=0.055; H=3.159,P=0.206; H=3.530,P=0.171; H=2.511,P=0.285]; 3組患者左側(cè)豎脊肌、右側(cè)豎脊肌表面肌電信號(hào)頻率治療前后的差異均無統(tǒng)計(jì)學(xué)意義(左側(cè)豎脊肌:Z=0.243,P=0.808; Z=-1.234,P=0.217; Z=-0.295,P=0.768; 右側(cè)豎脊肌:Z=0.678,P=0.498; Z=1.443,P=0.149; Z=-0.280,P=0.779); 短時(shí)間組和長時(shí)間組患者左側(cè)腰方肌、右側(cè)腰方肌表面肌電信號(hào)頻率治療前后的差異無統(tǒng)計(jì)學(xué)意義(左側(cè)腰方肌:Z=0.000,P=1.000; Z=-0.653,P=0.513; 右側(cè)腰方肌:Z=0.608,P=0.543; Z=-0.591,P=0.555),中等時(shí)間組患者末次治療后左側(cè)腰方肌、右側(cè)腰方肌的表面肌電信號(hào)頻率較治療前增高[左側(cè)腰方肌:(77.2,23.6)Hz,(86.7,31.1)Hz,Z=-2.240,P=0.025; 右側(cè)腰方肌:(81.3,29.9)Hz,(81.3,32.5)Hz,Z=-2.833,P=0.005]。結(jié)論:在前擺垂向力為50～70 N、回?cái)[垂向力為20～40 N、頻率為138次·min-1的條件下,法改善腰肌勞損患者局部肌肉疲勞的最佳時(shí)長為10 min。
Abstract:
Objective:To observe the effects of rolling manipulation with different durations on lumbodorsal electromyographic(EMG)signals in patients with lumbar muscle strain(LMS).Methods:Seventy-five patients with LMS were enrolled in the study and were randomly divided into 3 groups,25 cases in each group.The patients were treated with rolling manipulation 138 times in a minute along the lumbodorsal bladder meridian of Foot-Taiyang,that was to say bilateral erector spinae muscle(ESM)and quadratus lumborum muscle(QLM)),for 5 minutes(short time group),10 minutes(medium time group)and 15 minutes(long time group)respectively.The front-swing vertical force and back-swing vertical force of the manipulation were 50-70 N and 20-40 N respectively.All patients in the 3 groups were treated three times a week for consecutive 2 weeks.The surface EMG signals of bilateral ESM and QLM were collected by using surface electromyography before the treatment and after the last treatment respectively,and the surface EMG signal frequencies were compared among the 3 groups.Results:Four patients in short time group,3 cases in medium time group and 2 cases in long time group dropped out of the trial for unwilling to continue the trial,while 1 patient in medium time group and 2 cases in long time group dropped out for failing to be treated as required.There was no statistical difference in surface EMG signal frequencies of left ESM,right ESM,left QLM and right QLM among the 3 groups before the treatment and after the last treatment respectively(pretreatment:H=2.611,P=0.271; H=3.417,P=0.181; H=1.934,P=0.380; H=2.440,P=0.295; after the last treatment:H=5.805,P=0.055; H=3.159,P=0.206; H=3.530,P=0.171; H=2.511,P=0.285).Furthermore,the differences in surface EMG signal frequencies of left ESM and right ESM between pre-treatment and post-treatment were not statistically significant in the 3 groups(left ESM:Z=0.243,P=0.808; Z=-1.234,P=0.217; Z=-0.295,P=0.768; right ESM:Z=0.678,P=0.498; Z=1.443,P=0.149; Z=-0.280,P=0.779),and the differences in surface EMG signal frequencies of left QLM and right QLM between pre-treatment and post-treatment were not statistically significant in short time group and long time group(left QLM:Z=0.000,P=1.000; Z=-0.653,P=0.513; right QLM:Z=0.608,P=0.543; Z=-0.591,P=0.555),while the surface EMG signal frequencies of left QLM and right QLM increased after the last treatment compared to pre-treatment in medium time group(left QLM:(77.2,23.6)vs(86.7,31.1)Hz,Z=-2.240,P=0.025; right QLM:(81.3,29.9)vs(81.3,32.5)Hz,Z=-2.833,P=0.005).Conclusion:The optimal duration of rolling manipulation is 10 minutes for improving local muscle fatigue of LMS patients,with front-swing vertical force,back-swing vertical force and frequency as 50-70 N,20-40 N and 138 times/minute respectively.

參考文獻(xiàn)/References:

[1] 孫力盟,李長勤,姚健.腰肌勞損磁共振影像學(xué)研究現(xiàn)狀及進(jìn)展[J].泰山醫(yī)學(xué)院學(xué)報(bào),2016,37(1):116-120.
[2] 陳賢彪,林曉芳,王春富,等.中醫(yī)外治法治療慢性腰肌勞損研究進(jìn)展[J].新中醫(yī),2018,50(11):32-35.
[3] 宋豐軍,胡建鋒,張紅,等.推拿治療慢性腰肌勞損的臨床研究進(jìn)展[J].中醫(yī)正骨,2014,26(12):59-63.
[4] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標(biāo)準(zhǔn)[M].南京:南京大學(xué)出版社,1994:213.
[5] 房敏,王金貴.推拿學(xué)[M].北京:中國中醫(yī)藥出版社,2021:208.
[6] 郭銳偉.不同作用時(shí)間肘按法對(duì)慢性腰肌勞損疼痛改善的對(duì)比研究[D].廣州:廣州中醫(yī)藥大學(xué),2018.
[7] 沈夏虹.不同時(shí)長振腹法對(duì)寒濕凝滯型PD療效及血清PGF2α的影響[D].廣州:廣州中醫(yī)藥大學(xué),2019.
[8] 邊雷.脾土穴推拿不同時(shí)長對(duì)脾虛腹瀉患兒腦功能磁共振成像研究[D].天津:天津中醫(yī)藥大學(xué),2020.
[9] 楊森,武文杰,杜詩宇,等.慢性非特異性下腰痛患者腰背肌力量和耐力與生活質(zhì)量的相關(guān)性[J].廣西醫(yī)學(xué),2020,42(5):529-532.
[10] 陳麗媛.推拿結(jié)合八段錦治療慢性腰肌勞損的臨床療效觀察[D].福州:福建中醫(yī)藥大學(xué),2022.
[11] 陳麗媛,沈重慶,李長輝.基于肌肉力學(xué)性能探討推拿治療慢性腰肌勞損作用機(jī)制[J].智慧健康,2022,8(2):33-35.
[12] 井鳳玲,常曉濤.推拿手法治療慢性腰肌勞損的療效研究[J].醫(yī)學(xué)信息,2018,31(9):145-146.
[13] 張作軍.手法治療腰肌勞損療效觀察[J].實(shí)用中醫(yī)藥雜志,2018,34(12):1519-1520.
[14] 劉明軍.通經(jīng)調(diào)臟推拿手法治療慢性腰肌勞損[J].長春中醫(yī)藥大學(xué)學(xué)報(bào),2018,34(5):934-936.
[15] 鄭鍇鵬.通元推法治療慢性腰肌勞損的臨床研究[D].廣州:廣州中醫(yī)藥大學(xué),2020.
[16] 吳邦憲,劉啟華,唐宏亮,等.四步推拿法治療慢性腰肌勞損36例的臨床觀察[J].右江民族醫(yī)學(xué)院學(xué)報(bào),2021,43(6):782-784.
[17] 梁健,施靜,袁昕,等.核心穩(wěn)定訓(xùn)練治療非特異性腰痛的研究進(jìn)展[J].中醫(yī)正骨,2021,33(4):58-61.
[18] 劉婷婷,廖曉琴,曹鐵煒,等.慢性腰痛病人疼痛災(zāi)難化研究進(jìn)展[J].護(hù)理研究,2021,35(11):1954-1958.
[19] 朱承科,潘蘭蘭,郝增明,等.核心穩(wěn)定性訓(xùn)練治療地面機(jī)務(wù)人員下腰痛的研究[J].解放軍醫(yī)藥雜志,2018,30(4):111-114.
[20] 王悅.細(xì)胞的應(yīng)力松弛特性研究[D].鄭州:鄭州大學(xué),2020.
[21] GUAN H,ZHAO L,LIU H,et al.Effects of intermittent pressure imitating rolling manipulation in traditional Chinese medicine on ultrastructure and metabolism in injured human skeletal muscle cells[J].Am J Transl Res,2020,12(1):248-260.
[22] 萬小鳳,唐成林,趙丹丹,等.推拿對(duì)失神經(jīng)骨骼肌萎縮大鼠的治療作用及其機(jī)制[J].中國應(yīng)用生理學(xué)雜志,2019,35(3):223-227.

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備注/Memo

備注/Memo:
基金項(xiàng)目:國家自然科學(xué)基金項(xiàng)目(81874512) 通訊作者:孫武權(quán) E-mail:[email protected]
更新日期/Last Update: 1900-01-01